Active NPI
Corey Gifford, PSY.D.
- Clinical Psychologist
- New Bedford, MA
National Provider Identifier
1922536333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10613
- Practice address
- 106 Spring St Ste 304
New Bedford, MA 02740-5951 - Phone
- (774) 495-0090
- NPI assigned
- May 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10613 | MA | Primary |
Addresses
Primary practice location
106 Spring St Ste 304
New Bedford, MA 02740-5951
Mailing address
PO Box 3359
Westport, MA 02790-0713
Phone (774) 495-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170727000911 | MA | Practitioner - Clinical Psychologist | 5193095974 | Practice locations: New Bedford, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10613 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1922536333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3359",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027900713",
"telephone_number": "774-495-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SPRING ST STE 304",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027405951",
"telephone_number": "774-495-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "COREY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
- Erica Marie-Ange Gibson, PHARMD
- Elizabeth D. Giddings, M.A.
- Krishna Gidwani, COF, CDME
- Gifford Street Wellness Center, LLC (Gifford Street Wellness Center)
- Gifford Street Wellness Center, LLC (Gifford Street Wellness Center)
- Sarah Gifford
- Giga Med I LLC (Giga Medical)
- Gilbert L. Shapiro, M.D. Facs PC
- Alesha Chantelle Gilbert, MA
- Catharine E Gilfeather, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.